DME/CRT Clinical Liaison

Job Purpose

The Clinical Liaison provides clinical support by generating documentation of equipment justification based on the Assistive Technology Professional's evaluation to ensure funding of both basic and complex rehab equipment. In this position, the Clinical Liaison may provide clinical feedback to the ATPs if equipment justification does not support the equipment chosen. This role would be a source for direct support and communication to key referral accounts.

Key Responsibilities

• Provide dedicated order processing support to key referral account(s) as directed by the Director of Order Processing and affiliated ATPs.
• Responsible for collaborating with Director of Order Processing for held billing resolution.
• Analyze and report to Director of Order Processing on order processing trends and timeliness.
• Monitor key referral account OIP for accurate and timely processing of all orders for funding approval, procurement, scheduling and delivery.
• Collaborate with Directors and ATPs regarding pended order resolution.
• Coordinate submission and follow-up of prior authorizations when special handling is required by payer or location.
• Responsible for collection and evaluation of key referral account medical documentation, which includes reviews for medical necessity, technical accuracy and compliance standards.
• Collaborate with the Document Funding Center to communicate issues and changes with payers to Directors and ATPs.
• Work with IT and DFC Supervisors to resolve regional Payer Profile coding and allowable discrepancies.
• Analyze individual order gross profit margins and solutions when requested by key referral account ATPs.
• Analyze and educate staff on regional denial trends as well as on solutions for order approvals.
• Support ATPs with information and education to their key referral account when requested, including client financial obligations and the Payer process.
• Organize the scheduling and set up of loaner equipment as needed with ATPs and Seating Technicians.
• Coordinate key referral-based service and repair as needed or requested.
• Provide support to the regional DFC as directed by the Director of Order Processing.
• Develop & execute plans as directed from the Directors to meet and exceed financial goals.
• Contact RTS, ATPs, CCCs, SC and DFC staff as necessary for clarification in order process needs, documentation, timelines, responsibilities, adjustments, and deliveries.
• Utilize Numotion Leadership Principles to perform job with integrity, compliance, and values consistent with Numotion's mission.
• Adhere to employee or customer confidentiality and comply with Numotion's policies and federal regulations.
• Provide excellent customer service for all internal and external customers of the operations at all times.
• Provide solutions for customer concerns and continually focus on customer service as our top priority.

Required Qualifications, Skills, and Experience

• Associate's degree in related field or an equivalent combination of education and directly relevant experience may be considered.
• Clinical certification or minimum 2 years industry background with proven skills related to medical documentation review related experience or training required.

Preferred Competencies and Qualifications

• Demonstrate knowledge of products within CRT industry.
• Basic understanding of financial reporting – P&L, medical billing reports.
• Results-oriented and self-directed with excellent organizational and time-management skills.
• Excellent problem-solving and critical thinking abilities.
• Self-motivated and able to thrive in a results-driven environment.
• Experience with common PC software (Word Processing, Email, and Internet).
• Strong customer service skills, ability to meet challenging requirements and deadlines.

Physical Work Requirements

The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Frequent use of hands, wrists, fingers associated with computer equipment. Prolonged periods of time working at a desk and/or on a computer. Occasionally move and reach with arms and hands. Ability to lift/move up to 40 pounds. Ability to communicate effectively. Ability to work overtime as needed.